945 (2) NO. SPREE LOT NO.
�® L N FOR ELECTRICAL PERMIT
{JAN 2 CITY OF CUPERTINO /
Date 1 t , 195 G t Permit No. ` TJ
Gil 1/e tj Fee
�p Application is hereby made to the City of Cupertino for a permit to install electrical
wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said
0 wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
City of Cupertino, and all other laws applicable thereto.
Use of Premises � N
a OwnerF Address14 a✓ � �
By Address ti o
CZ U CONTRACTOR, AGENT
lr t -2. 3�o v APProved
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ELECTRIC SERVICE NOTICE OrFICH
YZ
BUILDING INSPECTOR'S OFFICE COPY
CITY OF CUPERTINO
......................... .............................. 196.1.
To
You
You are hereby authorize o connect the-ELECTRIC service for
Owner or Tenant
.......................................
At ......
................................... .......... ...........................I..............
No. of Wires .............. Size of Wires ?tg......... Size of Switch/,M11�
MotorLoad ............................ Voltage ................................ Phase....................................
HeatingLoad ........................ K. W. .....------....................... Voltage ...................... .........
)Light ..............110 .(.". .......New Service.�. ..........Reconnect ................
No. of Meters ...L............_ ......
Heat ..............220 ................Three—�
Wire ..................Move Service ..........
No. of Add. Meters � I Power .............. .............Wove Meter ............
("Tt
............. .......
............ V..............................................
104 1160-500 EL�ECtRItAL INSPECTOR
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